Perinatal hospice care in the opinion of nurses and midwives

Ginekol Pol. 2019;90(12):702-706. doi: 10.5603/GP.2019.0120.

Abstract

Objectives: Perinatal medicine is a relatively new, dynamically developing branch of medicine. Its main purpose is taking care of a woman in the pre-conception period, pregnancy and delivery, as well as taking care of a newborn baby. The main aim of the study was to assess the state of knowledge and opinion on hospice perinatal care of professionally active nurses and midwives.

Material and methods: An original and anonymous questionnaire containing 30 questions was used for the study. 572 nurses and midwives from the Silesian Voivodeship took part in the study. The obtained data were analyzed.

Results: Only 31.6% of respondents defined the level of their knowledge of pregnancy and neonatal care as high. 12.8% of respondents were able to indicate the definition of perinatal care and accurately determine its goals. The women participating in the study were in favor of enclosing the information about not attempting resuscitation (DNAR) in medical record of children with incurable disease diagnosed in fetal life (99.3%).

Conclusions: The study showed deficits in practical and theoretical knowledge of nurses and midwives in the area of hospice perinatal care. Lack of proper preparation is also one of the most frequently mentioned difficulties in taking care of a child and family with poor prognosis.

Keywords: midwives; nurses; perinatal care; perinatal hospice.

MeSH terms

  • Female
  • Hospice Care* / methods
  • Hospice Care* / standards
  • Humans
  • Infant, Newborn
  • Infant, Newborn, Diseases / mortality
  • Male
  • Midwifery* / education
  • Midwifery* / standards
  • Needs Assessment
  • Neonatal Nursing / education
  • Neonatal Nursing / standards
  • Nursing Assessment / methods
  • Nursing Evaluation Research
  • Nursing Process / standards
  • Patient Care Planning / standards
  • Perinatal Care* / methods
  • Perinatal Care* / standards
  • Poland
  • Pregnancy
  • Terminally Ill